COURTNEY BETH STEWART (Credential# 1617862) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
COURTNEY BETH STEWART is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004528. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 1751 Earl Core Rd., Morgantown, WV 26505. The current status is active.
Licensee Name | COURTNEY BETH STEWART |
Credential ID | 1617862 |
Credential Number | 23.004528 |
Credential Type | Physician Assistant |
Business Address |
1751 Earl Core Rd. Morgantown WV 26505 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-07-24 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-04-20 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1680778 | CSP.0072131 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-08-01 | 2019-08-01 - 2021-02-28 | ACTIVE |
Street Address | 1751 EARL CORE RD. |
City | MORGANTOWN |
State | WV |
Zip Code | 26505 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ahmad Zafir Arham | 130 Meadow Ridge Drive, Morgantown, WV 26505 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Charles Dennis Ponte | 1105 Charles Ave, Morgantown, WV 26505 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Melody P Heath | 420 Grant Ave, Morgantown, WV 26505 | Registered Nurse | 2015-07-21 ~ 2015-09-30 |
David R Simpson | 1228 Van Voorhis Rd#f3, Morgantown, WV 26505 | Professional Engineer | 1988-01-21 ~ 1989-01-31 |
Vigneshwaran Ramanathan | 113 Cobblestone Circle, Morgantown, WV 26505 | Physician/surgeon | 2013-06-01 ~ 2014-05-31 |
Marco E Melo | 121 Meadowridge Drive, Morgantown, WV 26505 | Physician/surgeon | ~ |
Tammy S Choumarov · Swedberg | 248 Donna Ave, Morgantown, WV 26505 | Registered Nurse | 2007-10-02 ~ 2008-06-30 |
Kathy L Balasko | Route 2 Box 81, Morgantown, WV 26505 | Dental Hygienist | 1992-03-24 ~ 1993-03-31 |
Carolyn P Graeber | 3337 Collins Ferry Road, Morgantown, WV 26505 | Emergency Medical Technician | 2002-10-18 ~ 2004-04-01 |
Stephen D Durrenberger | 748 Southerns Ave, Morgantown, WV 26505 | Pharmacist | 1800-12-27 ~ 1990-03-31 |
Find all Licenses in zip 26505 |
City | MORGANTOWN |
Zip Code | 26505 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + MORGANTOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Courtney Nicole Enos | 916 1/2 4th St Ne, Byron, MN 55920-1530 | Physician Assistant | ~ |
Courtney Sherman | 18 John Ct., Randolph, NJ 07869 | Physician Assistant | 2004-01-28 ~ 2004-09-30 |
Courtney Christine Marquardt | 1 Dicardee Dr, Enfield, CT 06082-1905 | Physician Assistant | ~ |
Courtney R Whittle | 73 Perry Rd, Bristol, CT 06010-7812 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Courtney Adair Chenault | 110 Lismore Ave, Glenside, PA 19038-4011 | Physician Assistant | ~ |
Heidi A Courtney | 108 Circle Drive, Chicopee, MA 01020 | Physician Assistant | 1999-10-28 ~ 2000-07-31 |
Courtney Wagner Peerless | 52 Charlesgate E Apt 155, Boston, MA 02215-3624 | Physician Assistant | 2018-12-01 ~ 2019-11-30 |
Courtney Elizabeth Peck | 365 Montauk Ave, New London, CT 06320-4700 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Courtney R Hollingsworth | 428 Country Walk, Amherst, OH 44001-2635 | Physician Assistant | 2016-10-01 ~ 2017-09-30 |
Daniel G Stewart | 11 Whalley Rd, Trumbull, CT 06611-4415 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).